Skull AP

Overview

The AP skull radiograph evaluates cranial vault symmetry and gross osseous lesions. The patient is positioned upright or supine with the detector centered to the skull. This view is used for initial assessment in trauma and suspected skull pathology.

Technique

Center the detector to include the entire skull and ensure the orbitomeatal line is perpendicular to the detector for standard AP projection. Use appropriate exposure and immobilize the head to reduce motion. Collimate to the skull to minimize dose.

Clinical Indications

AP skull is indicated for trauma suspected fracture and evaluation of lytic or sclerotic lesions. CT is preferred for detailed assessment of skull fractures and intracranial injury. Radiographs may be used when CT is unavailable.

Image Assessment

Inspect cranial vault for fractures lytic lesions and calcifications. Evaluate sutures and skull base when visible. Recommend CT for detailed evaluation of suspected intracranial or complex skull pathology.

Skull Lateral

Overview

The lateral skull radiograph profiles the cranial vault and facial bones to assess fractures and soft tissue calcifications. The patient is positioned true lateral with the orbitomeatal line parallel to the detector. This view complements AP imaging for comprehensive skull assessment.

Technique

Position the head in true lateral and center the detector to include the entire skull from the frontal sinus to the occiput. Use appropriate exposure and immobilize the head to minimize motion. Collimate to the skull to reduce dose.

Clinical Indications

Lateral skull is indicated for trauma suspected fracture and evaluation of sinus disease or calcifications. CT is preferred for detailed assessment of fractures and intracranial pathology. Radiographs may be used for screening or when CT is not available.

Image Assessment

Evaluate cranial vault contour suture lines and paranasal sinus aeration. Inspect for depressed fractures and soft tissue emphysema. Recommend CT for definitive assessment of suspected intracranial injury.